# SHINN RESIDENTIAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619012606
- **Authorized official:** MR. GARY SHINN (PRESIDENT)
- **Authorized official phone:** (573) 406-1523

## Contact information

- **Practice address:** 8OO PARIS AVE, SHINN RESIDENTIAL CENTER II, HANNIBAL, MO 63401
- **Practice address phone:** (573) 221-2796
- **Practice address fax:** (573) 248-1091
- **Mailing address:** 817 PARIS AVE, HANNIBAL, MO 63401-3223
- **Mailing address phone:** (573) 406-1523
- **Mailing address fax:** (573) 248-1091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2462-8462 | MO | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020